Brianne Fox, P.A.
NPI 1538465943 · Physician Assistant · Wilmington, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brianne Fox, P.A. is a Physician Assistant provider in Wilmington, NC (NPI 1538465943).
Provider details
- NPI number
- 1538465943
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 013820 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
64 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $82 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 24 | $13 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 16 | $115 |
Typical Medicare-allowed amounts for these services range $13–$115 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 326 | 83 |
| Dolutegravir/Rilpivirinebrand: Juluca | 108 | 21 |
| Dolutegravir Sodiumbrand: Tivicay | 87 | 22 |
| Rosuvastatin Calcium | 84 | 33 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 70 | 14 |
| Elviteg/Cob/Emtri/Tenof Alafenbrand: Genvoya | 69 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 335b Meeting House LnSouthampton, NY 11968-5051Phone: (631) 287-5990Fax: (631) 287-5995
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2026-05-24
- Certified
- 2024-02-27
Frequently asked questions
- What is Brianne Fox's NPI number?
- Brianne Fox's National Provider Identifier (NPI) is 1538465943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brianne Fox's specialty?
- Brianne Fox is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brianne Fox located?
- Brianne Fox's practice location on file with NPPES is 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345.
- What is Brianne Fox's phone number?
- The practice phone number listed in the NPPES registry for Brianne Fox is (910) 662-9300.
- Does Brianne Fox accept Medicare?
- Brianne Fox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brianne Fox's NPI active?
- Yes — Brianne Fox's NPI (1538465943) is active in the NPPES registry as of the last update on 2026-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.